Individual
MISS AMANDA CHRISTINE JOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
720 14TH AVE., LONGVIEW, WA 98632
(360) 423-0203
(360) 423-5086
Mailing address
921 14TH AVE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60707126
WA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076148
—
WA
Enumeration date
11/01/2011
Last updated
02/05/2019
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